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脑卒中后尿失禁患者生活质量现状及其与心理状态的相关性
作者：周雨欣1  陆雪松2  封海霞1  周锦业2  吴翠2 
单位：1. 东南大学医学院 护理系, 江苏 南京 210009;
2. 东南大学 附属中大医院, 江苏 南京 210009
关键词：脑卒中 尿失禁 生活质量 心理状况 
分类号：R743.3
出版年·卷·期（页码）：2020·39·第二期（151-156）
摘要：

目的：探讨脑卒中后尿失禁患者的生活质量与心理状态现状，并分析两者相关性。方法：采用横断面调查，选取南京市8家不同等级医院的脑卒中后尿失禁住院患者112例，采用一般资料调查表、尿失禁生活质量问卷（I-QOL）、抑郁自评量表（SDS）及焦虑自评量表（SAS）进行调查。结果：脑卒中后尿失禁患者生活质量总分为（48.12±9.89）分，焦虑总分为（46.05±11.06）分，抑郁总分为（54.95±8.43）分。除逃避和限制性行为维度与SDS总分及躯体性障碍以外的3个症状得分无相关性外，I-QOL总分及各维度得分与SDS、SAS各维度得分及总分均呈负相关（r值-0.03~-0.48，P<0.01或P<0.05）。多元回归分析显示躯体性障碍、精神运动性障碍、年龄及医护人员健康教育程度是脑卒中后尿失禁患者生活质量的独立影响因素。结论：脑卒中后尿失禁患者普遍生活质量较低，且常伴焦虑、抑郁，在康复护理工作中应注意评估患者的心理状况，进行积极的健康教育，以提高其生活质量。

Objective: To explore the relationship between quality of life(QOL) and mental health status in patients with post-stroke urinary incontinence(PSUI). Methods: A cross-sectional survey was conducted. One hundred and twelve cases of inpatients with PSUI were selected from eight hospitals of different grades in Nanjing as study subjects.The subjects were investigated by demographic general questionnaire, self-rating depression scale(SDS), self-rating anxiety scale(SAS) and incontinence quality of life questionnaire(I-QOL). Results: The total scores of I-QOL, SAS and SDS in patients with PSUI were (48.12±9.89), (46.05±11.06) and (54.95±8.43) respectively. Except the dimensions of avoidance and restriction behavior, the total scores of I-QOL and other dimensions were negatively correlated with the scores and all dimensions of SDS and SAS(r value from -0.03 to -0.48,P<0.01 or P<0.05). Multiple regression analysis showed that physical and mental disorders, age and health educational level were independent factors influencing patients' QOL. Conclusion: Patients suffering from PSUI generally have lower quality of life and are often accompanied by anxiety and depression. Health care professionals should pay attention to the evaluation of PSUI patients' mental health status in clinical practice to improve their quality of life.
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